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COCONINO COUNTY NPI 1962529610


NPI Information

NPI: 1962529610
Provider Name: COCONINO COUNTY
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 03D0933837

Address:
2625 N KING ST
CLINICAL SERVICES
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 679-7222
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COCONINO COUNTY is a public health or welfare in Flagstaff, AZ. COCONINO COUNTY NPI is 1962529610. The provider is registered as an organization entity type.

The provider's business location address is:

2625 N KING ST
CLINICAL SERVICES
FLAGSTAFF, AZ
ZIP 86004-884
Phone: (928) 679-7222
Fax: (928) 679-7351

The provider's authorized official is Sarah Schildecker .
The authorized official title is Division Manager and has the following contact phone number (928) 679-7377.

The CLIA number assigned to this NPI record is 03D0933837 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 11/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareAP1709ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1062224MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.